Individual
DR. MARK H FRITZE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
Mailing address
PO BOX 645, WICHITA, KS 67201-0645
(316) 689-5050
(316) 689-6192
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
04-23353
KS
2085N0700X
Neuroradiology Physician
04-23353
KS
2085N0904X
Nuclear Radiology Physician
04-23353
KS
2085P0229X
Pediatric Radiology Physician
04-23353
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-23353
KS
2085R0203X
Therapeutic Radiology Physician
04-23353
KS
2085R0204X
Vascular & Interventional Radiology Physician
04-23353
KS
2085U0001X
Diagnostic Ultrasound Physician
04-23353
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124160C
—
KS
Enumeration date
11/18/2005
Last updated
10/17/2018
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